Information Collection

Pre-call Telephone Script

IC 227288 under ICR 201908-0920-009 · OMB 0920-1202.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 0920-1202 Pre-call Telephone Script	Form and Instruction
0920-1202 Nano Survey Att 8_Nano Survey.docx	Form and Instruction
Att 8a_Nano Survey (Screenshots).docx Nano Survey(screenshots)	IC Document

IC Title:

Agency IC Tracking Number:

0920-1202

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	0920-1202	Nano Survey	Att 8_Nano Survey.docx		Yes	Yes	Fillable Printable

Line of Business: Health

Subfunction: Consumer Health and Safety

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 300

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Previously Approved
Annual Number of Responses for this IC	300	300
Annual IC Time Burden (Hours)	25	25
Annual IC Cost Burden (Dollars)	342	342

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Nano Survey(screenshots)	Att 8a_Nano Survey (Screenshots).docx	08/27/2019

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.